MEDICARE: DR. PAUL RHINDRESS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist	010848	NY

General Provider Information

NPI Number	:	1982658290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL RHINDRESS PH.D.

Provider Business Mailing Address
First Line	:	9 EVERGREEN AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3914
Country	:	US
Telephone Number	:	718-836-6600
Fax Number	:	718-630-2894

Provider Business Practice Location Address
First Line	:	9 EVERGREEN AVE
Second Line	:
City	:	NEW HYDE PARK
State	:	NY
Zip	:	11040-3914
Country	:	US
Telephone Number	:	516-775-1037
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	04/12/2023

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